Provider Demographics
NPI:1316037633
Name:COMPREHENSIVE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE HOME HEALTH CARE, INC.
Other - Org Name:OPUSCARE OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:HUMBERTO
Authorized Official - Last Name:TAMAYO
Authorized Official - Suffix:
Authorized Official - Credentials:LHCRM
Authorized Official - Phone:305-591-1606
Mailing Address - Street 1:6900 SW 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4931
Mailing Address - Country:US
Mailing Address - Phone:305-591-1606
Mailing Address - Fax:305-591-1618
Practice Address - Street 1:6900 SW 80TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4931
Practice Address - Country:US
Practice Address - Phone:305-591-1606
Practice Address - Fax:305-591-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RH0002X
FL5013096251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL150001500Medicaid
FL10-1536Medicare ID - Type Unspecified